Baby Dedication Form CHILD'S INFORMATION Child's Name * First Name Last Name Child's Date of Birth * MM DD YYYY Name of Birth Hospital Gender * Male Female Requested Month of Dedication * PARENT'S INFORMATION Mother's Full Name * First Name Last Name Father's Full Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Contact Phone Number * (###) ### #### Email * GODPARENT'S INFORMATION Godmother's Full Name First Name Last Name Godfather's Full Name First Name Last Name Who will participate in the ceremony? Both Parents Mother (only) Father (only) Godparent(s) Thank you!
